CATEGORIZATION OF PSYCHIATRIC PROBLEM LISTS USING THE KENNEDY AXIS V

The Kennedy Axis V is essential to my developing a treatment planning system as presented in my book Fundamentals of Psychiatric Treatment Planning, American Psychiatric Press, 1992 and my upcoming book, Kennedy Approach to Psychiatric Treatment Planning. The Kennedy Axis V categories are used to lay out the structure for developing problems lists. Problem lists form the heart of the treatment planning process. All problems on a problem list can be taken directly from one of the Kennedy Axis V seven subscale/problem areas as demonstrated below.

PROBLEM CATEGORIZATION USING THE KENNEDY AXIS V

The classification system serves to simplify problem identification and treatment planning by categorizing problems using the Kennedy Axis V subscales. The wide range of psychiatric/medical symptoms, syndromes, and issues are divided into the following seven problem areas. Below are some examples of problems from each of the seven areas:

1) PSYCHOLOGICAL IMPAIRMENT
....a) Psychotic Symptoms
....b) Mood disturbance
....c) Poor focal attention
....d) Poor motication
....e) Personality disturbance
....f) Eating disturbance

2) SOCIAL SKILLS
....a) Limited interpersonal skills
....b) Unaware of social norms
....c) Poor communication skills
....d) Sexually inappropriate behavior

3) VIOLENCE
....a) Threatening and assaultive
....b) Homicidal
....c) Suicidal
....d) Arson

4) ADL-OCCUPATIONAL SKILLS
....a) Poor job skills
....b) Poor workmanship
....c) Poor personal hygiene skills
....d) Lacks skills to care for self
....e) Lacks basis survival skills

5) SUBSTANCE ABUSE
....a) Alcohol abuse
....b) Polysubstance abuse
....c) Cocaine abuse
....d) Nicotine addiction

6) MEDICAL IMPAIRMENT
....a) Hypertension
....b) Diabetes
....c) Tardive dyskinesia
....d) Seizure disorder
....e) Allergy to penicillin
....f) Family planning
....g) Dental problems

7) ANCILLARY IMPAIRMENT
....a) Homelessness
....b) Abusive spouse
....c) Incarceration
....d) Financial problems
....e) Legal problems
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